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Get NYC HRA W-147Q LLF 2007

Borough: Apt. Number: Zip Code: Borough: I, Zip Code: , do hereby declare that I am the primary tenant of apartment located at . I do also declare that also lives on these premises. (name of secondary tenant) I charge $ per month rent for providing shelter (heat/utilities). Attached is a copy of my lease or other documentation demonstrating that I am a legal tenant of this apartment. Rent payment method (check the applicable boxes): c d e f g Rent is paid directly to the landlord. .

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